| Dr Sonia Sharma, PHD | |
|
375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | |
| (618) 256-7386 | |
| Not Available |
| Full Name | Dr Sonia Sharma |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 375th Medical Group, Scott Afb, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699055434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008072 (Illinois) | Primary |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822147 PECOS PAC ID: 3072422716 Enrollment ID: O20040128001061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sonia Sharma, PHD 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 Ph: (618) 256-7386 | Dr Sonia Sharma, PHD 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 Ph: (618) 256-7386 |
Lisa D Goldberg, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7386 | |
Dr. Steven James Byrnes, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 310 W Losey St, 375 Mdg/sgoh, Scott Afb, IL 62225 Phone: 618-256-3426 | |
Benjamin Dickter, Psychologist Medicare: Medicare Enrolled Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-9355 | |
Leslie A Buck, PH.D (ABD) Psychologist Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7386 | |
Dr. David C Wright, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7696 |